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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A VENDOR COORDINATOR THAT COMPLETES AN INITIALSCREENING OF ALL VENDOR AND THIRD PARTY OPPORTUNITIES WHICH INCLUDESCONFLICTS OF INTEREST. THE VENDOR COORDINATOR WILL GIVE AN EVALUATION OFTHE OPPORTUNITY TO THE BOARD TO DETERMINE NEXT STEPS. THE VENDOR COMMITTEEMANAGES, EVALUATES AND IMPLEMENTS ALL THIRD PARTY ENGAGEMENTS AND CONFLICTSOF INTEREST WITH PAMCO AND PROVIDES RELEVANT UPDATES ON THIRD PARTYACTIVITY TO THE PAMCO BOARD OF DIRECTORS. THE COMMITTEE EVALUATES ALL THIRDPARTY RELATIONSHIPS FOR THE INTERESTS, VALUE AND RISK IT BRINGS TO PAMCO,ITS MEMBERS AND MEDICAID MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DOCUMENTS AVAILABLE TO THE PUBLIC</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>